Infertility

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  • 2 Answers
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    A answered
    Artificial insemination may be recommended if you are a man who wants to conceive a child but who:
    •  has a low sperm count
    •  has sperm with poor motility (the ability to move spontaneously and powerfully to reach the egg)
    •  is unable to achieve an erection
    •  has retrograde ejaculation (a condition in which sperm are ejaculated into the bladder instead of out the penis)
    Artificial insemination may also be recommended if you are a woman who is part of a couple that wants to conceive a child, and you:
    •  have a scarred or damaged cervix
    •  have problems with your cervical mucus
    •  have been diagnosed with unexplained infertility
    Artificial insemination is the placement of sperm directly into a woman's uterus by using a syringe with a catheter. It is usually performed within 24 to 36 hours of a woman ovulating. Before insemination, the sperm is washed or "separated," a process that concentrates the healthiest, most motile sperm to increase the odds of successfully fertilizing the egg.
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    A physician performs the intrauterine insemination (IUI) approximately one hour after the semen arrives in the laboratory for processing. After a speculum is inserted into the vagina, a narrow catheter is slipped through the cervical canal. Sperm are deposited in the upper portion of the uterus. No medication or anesthetics are required, and the procedure is usually painless. Once the catheter and speculum are removed, you will remain lying down with your hips slightly elevated for 15 minutes.
    The contents of this website are for informational purposes only and are not intended to be a substitute for professional medical advice, diagnosis, or treatment. Nor does the contents of this website constitute the establishment of a physician patient or therapeutic relationship. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.
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    Intrauterine insemination (IUI) is performed at different stages in a woman's cycle, depending on whether or not her ovulation is being stimulated with medications.

    • Without Stimulation. If no female factors are causing infertility, IUI may be performed during a natural ovulation cycle with no medications. The timing of IUI is determined by using an “ovulation predictor” urine test, with the procedure performed the day after a positive test. Ultrasound exams may be used to help determine exact timing.
    • With Stimulation. To improve the chances of ovulation and to increase the number of eggs that are released, some women take medication such as clomiphene citrate (Clomid, Serophene) or letrozole (Femara). These medications are usually taken daily during cycle days five through nine, followed by IUI timed with urine luteinizing hormone (LH) kits.
    The contents of this website are for informational purposes only and are not intended to be a substitute for professional medical advice, diagnosis, or treatment. Nor does the contents of this website constitute the establishment of a physician patient or therapeutic relationship. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.
  • 6 Answers
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    A , Diagnostic Radiology, answered
    By placing sperm directly into the uterus via a catheter, intrauterine insemination bypasses cervical mucus that may be hostile to the sperm, placing them close to the fallopian tubes where fertilization occurs. IUI is often successful in overcoming sperm count and movement problems, retrograde ejaculation, immunologic infertility and other causes of infertility.
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    After the intrauterine insemination (IUI) procedure, you may leave the office and go about your usual activities. Light spotting after the procedure, as well as leakage of some insemination fluid, may occur; this discharge is normal. If you experience light cramping, you may treat it with acetaminophen. Do not take nonsteroidals, such as ibuprofen or naprosyn, as these medications may affect ovulation.
    The contents of this website are for informational purposes only and are not intended to be a substitute for professional medical advice, diagnosis, or treatment. Nor does the contents of this website constitute the establishment of a physician patient or therapeutic relationship. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.
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    Generally, your partner will come to the fertility office the morning of your treatment to provide a semen specimen, which will be processed in an andrology laboratory. After a semen specimen is produced by the husband or partner, the sperm are counted and processed. The processing is done to remove the seminal fluid. In some circumstances, your partner may collect a sample at home, provided it is delivered in a sterile container to the laboratory within 30 minutes of collection. The clinic will provide a kit for this purpose.
    The contents of this website are for informational purposes only and are not intended to be a substitute for professional medical advice, diagnosis, or treatment. Nor does the contents of this website constitute the establishment of a physician patient or therapeutic relationship. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.
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    A , Reproductive Endocrinology, answered
    Performing intrauterine insemination may result in an increase in the number of sperm at the site of fertilization in the fallopian tube. Generally only 1 of 2000 sperm ejaculated into the vagina can later be found in the fallopian tube. Therefore, adding insemination to stimulated cycles may further improve the pregnancy rate. A possible side effect of the injectable fertility drugs is ovarian hyperstimulation, a condition in which the ovaries are tender and enlarged. In severe cases, a woman may have swelling from retaining excessive amounts of body fluid in the tissues. Fortunately, severe hyperstimulation is rare, occurring in less than one percent of treatment cycles.
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    If the intrauterine insemination (IUI) is successful, conception normally occurs approximately 24 hours after ovulation, and the embryo will implant between cycle day 20 to 24. If you do not experience a period by day 14 from your time of ovulation or IUI, you should take a home pregnancy test. If it is positive or if your cycle doesn’t start, visit the clinic for a serum blood test to check for pregnancy.
    The contents of this website are for informational purposes only and are not intended to be a substitute for professional medical advice, diagnosis, or treatment. Nor does the contents of this website constitute the establishment of a physician patient or therapeutic relationship. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.
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    A , Pharmacy, answered
    Pregnancy testing kits are a simple way to determine if you are or are not pregnant without taking a trip to the doctor. However, the risk associated with a testing kit is that the result might be false. It might be false negative or false positive. You may test a false positive if you have traces of blood and protein in your urine samples or if you are using an expired or a damaged kit. You may test false negative if the urine is diluted, the test was taken too early, or the test was timed incorrectly. Try and conduct the test within 15 minutes of collecting the sample. 
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    A , Reproductive Endocrinology, answered
    For women who are unsure of when they ovulate, keeping a basal body temperature chart for several months may help identify the time of ovulation. Charting involves taking one's temperature every morning upon waking up and recording the results. For optimal accuracy, this must be performed before the woman drinks a cup of hot coffee or brushes her teeth, as these events can interfere with the temperature reading. When the temperature goes up 0.5 degrees, the woman is in the process of ovulating. This is not recommended as a method to plan intercourse, as the rise in temperature is caused by an increase in progesterone after the follicle's release of the egg, and the window of opportunity for conception may be missed by the time the temperature rises.  Though it is a reasonable first step to attempting conception, if the results are inconclusive after three months, it is recommended that the couple move on to other methods to detect ovulation, such as the urinary LH detection kits.
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